The purpose of this research is to examine the relationship of elderly patients', caregivers', and nurses' needs, technology integration, and quality outcomes in telehomecare. Telehomecare is defined as monitoring patients via telephone interactive video transmission as a substitute for face-to-face home visits. Use of telehomecare changes the balance of patient/caregiver and nurse practices. As patients and caregivers take on responsibility for managing technology in the home and for independent self-monitoring, they transition from recipients of care to full participation in the care process. Together, the patient, caregiver and nurse create a new social subsystem linked by technology. The degree of technology integration into common care practices is measured from the perspectives of the social subsystem members. The proposed research provides a new framework based on the sociotechnology systems theory that examines the influence of patient, caregiver and nurse subsystem needs on use of technology and subsequent patient and nurse outcomes. Patient, nurse and caregiver needs consist of motivation and attitudes and expectation about the use of technology. Patient quality outcomes include symptom management, self-care and satisfaction. The nurses' quality outcomes are satisfaction and control over nursing practice. Correlation techniques and multiple regressions are used to test relationships in the theoretical model. Causal modeling can then be used to test for causation among the framework variables. ? ?

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Predoctoral Individual National Research Service Award (F31)
Project #
1F31NR008825-01A1
Application #
6835295
Study Section
National Institute of Nursing Research Initial Review Group (NRRC)
Program Officer
Toward, Jeffrey I
Project Start
2004-11-16
Project End
2007-11-15
Budget Start
2004-11-16
Budget End
2005-11-15
Support Year
1
Fiscal Year
2004
Total Cost
$28,900
Indirect Cost
Name
University of Arizona
Department
Type
Schools of Nursing
DUNS #
806345617
City
Tucson
State
AZ
Country
United States
Zip Code
85721
Shea, Kimberly; Chamoff, Breanna (2012) Telehomecare communication and self-care in chronic conditions: moving toward a shared understanding. Worldviews Evid Based Nurs 9:109-16
Shea, Kimberly (2011) Interactions and outcomes using the Social Relations Model in a healthcare group. Soc Sci J 48:130-144
Shea, Kimberly; Effken, Judith A (2008) Enhancing patients'trust in the virtual home healthcare nurse. Comput Inform Nurs 26:135-41